Therapeutic Management of the Complex Neonate: Cardiac, Respiratory, Neurologic Challenges in the NICU, PICU, SICU and EI Settings

Education Resources, Inc.

Format(s):   Live Seminars
Discipline(s):   Physical Therapy / Occupational Therapy / Speech-Language
Contact Hours:   13
Registration Fee:   $435.00

Objectives

Upon completion of this workshop, participants will be able to:
1. Describe the in-depth anatomy and physiology of normal and disordered functions of the Cardio, Respiratory and Neurologic Systems, along with the pros and cons of various medical interventions.
2. Explain how each medical disorder negatively affects neuro-development and the attainment of typical milestones in pre-term and full-term infants.
3. Analyze the research reporting on long-term outcomes for infants with complex medical histories.
4. Identify and apply appropriate strategies, across all therapy domains, to improve short-term and long-term outcomes in these infants.
5. Discuss the importance of creating a “team” for all infants, with the main focus being a strong collaboration with parents and other medical providers.
6. Incorporate theories of neuro-developmental care and family-centered care into clinical practices.

Target Audience

Occupational Therapists, Physical Therapists, Speech Language Pathologists and Special Educators working in the NICU, PICU, SICU and Early Intervention.

Confirmation Notes

This course meets the criteria for 13 contact hours (1.3 CEU's). Application has been made to the NJ Board of Physical Therapy Examiners, the PA State Board of Physical Therapy, and the NV State Board of Physical Therapy Examiners. ERI is an approved agency by the PT Board of CA. Approved provider by the NY State Board of Physical Therapy for 16.2 contact hours.
App ro ve d prov id e r of c on tinu in g education by the American Occupational Therapy Association #3043, for 13 contact hours - Intermediate Level Occupational Therapy Process: assessment, intervention. The assignment of AOTA CEU's does not imply endorsement of specific course content, products or clinical procedures by AOTA. NBCOT professional development provider-13 PDU's
This course is offered for up to 1.3 ASHA CEUs (Intermediate level, Professional area).

Agenda

DAY ONE:
7:30-8:00 Registration/Continental Breakfast 8:00-9:00 Typical Development of the Pulmonary System • Anatomy and physiology: • 1st , 2nd and 3rd trimester, Full-term through 3 months of age 9:00-10:00 Respiratory Devices, strategies to optimize therapy sessions anddevelopmental outcomes when devices are necessary. • Mechanical Ventilation, Nasal CPAP, HiFlow Nasal Cannula, etc. • Respiratory Therapist: interprofessional collaboration 10:15-12:00 Each condition (A-C) will have 4 sections 1. Disordered Physiology and Expected Bedside Presentation 2. Diagnostic Assessments and Medical Interventions 3. Impact on Development, with preventative strategies. 4. Long Term Developmental Outcomes A. Neonatal Respiratory Conditions 1. Full Term Pathology (i.e. meconium aspiration, PPHN, pneumothorax, pleural effusion, etc.) 2. Pre-Term Pathology(i.e. CLD, BPD, etc.) 3. Congenital Anomalies(i.e. pulmonary airway malformation, diaphragmatic hernia, Choanal atresia, lobar emphysema, etc.) 4. Other (i.e. tracheostomy, neuro muscular disorders, etc.) 1:00-1:30 Typical Development of the Neurologic System • Anatomy and physiology: • Each trimester, Full-term- 3 months 1:30-3:00 B. Neonatal Neurologic Conditions 1. Congenital i.e. neural tube defects, cerebrovascular malformations, etc.) 2. Acquired (i.e. IVH, HIE, PVL, post hemorrhagic hydrocephalus, etc.) Physiology of Seizures and Abnormal Tone 3:15-4:00 Prematurity: Impact on Postnatal Brain Development • Basic Science of Neural Enrichment and Deprivation • Environmental Inputs • Early Relational Trauma & Neurobiological Alterations

DAY TWO:
7:30-8:00 Continental Breakfast 8:00-9:00 Typical Development of the Cardiac System • Anatomy and physiology: •Each trimester, Full-term - 3 months 9:00-10:00 Physiology of Heart Failure Physiology of Pulmonary Edema 10:15-12:00 C. Neonatal Cardiac Conditions Conditions will be Classified by: 1. Cyanotic: Congenital Heart Defects (i.e. Tetralogy of Fallot, Tricuspid atresia, Pulmonary atresia, etc.) 2. Acyanotic (i.e. VSD, PDS, etc.) 3. Obstructive 1 (i.e. aortic stenosis, aortic coarctation, hypoplasic left lung syndrome, etc.) 1:00-3:00 Overview of Neuro-Developmental Care and Appropriate Intervention Strategies • Handling/Positioning • Sensory Processing • Pre-Feeding Oral Care • Feeding/Swallowing 3:15-4:00 Parent Education to Optimize FamilyCentered Care and Neuro-Protection • Strategies to implement models • Case studies/scripted language Lunch will be from 12:00pm-1:00pm each day. Two 15 minute breaks scheduled each day

Description

This course will provide the advanced clinician with an in-depth review of the developmental consequences of infants born with Cardiac, Respiratory and/or Neurologic Diagnoses. Starting with embryology, anatomy and physiology provides clinicians with a solid understanding of the physiologic obstacles in which they must overcome in their evaluations and treatment sessions. A review of medical interventions for these diagnoses will further the audience’s knowledge and improve their management strategies when working closely with other medical professionals. Information for both full-term and pre-term infants will be provided, along with the current literature reporting upon these infants’ long-term outcomes. Functional information will be a strong focus of this course, which ensures the audience can immediately apply strategies to use with their caseloads. Such topics include neuro-developmental care for handling, positioning, oral care, feeding/swallowing and sensory processing strategies. Accompanying therapy frequency and intensity recommendations will be discussed. A strong focus on developmental appropriateness, research efficacy and parent-training is intertwined into the material to help support rationales made for each problem and age. Each topic will be accompanied by recommended readings or lectures for continued learning outside of this course. The use of videos and real life experience makes this course engaging, interactive and functional to any provider looking to make real progress with the children on their caseload with complex medical issues.